What technique is recommended for providing chest compressions during neonatal resuscitation?

The two-finger technique is recommended for providing chest compressions during neonatal resuscitation due to the anatomical and physiological characteristics of newborns. This method allows for effective compressions while minimizing the risk of injury to the fragile chest structure of the neonate.

In this technique, the caregiver uses the index and middle fingers placed just below the nipple line, applying gentle but firm pressure to the center of the chest. This approach is effective in generating sufficient blood flow and ensuring proper ventilation and perfusion. It is specifically designed for the smaller size and delicate nature of a newborn’s thoracic cavity, allowing for adequate depth and rate of compressions.

Using the heel of the hand or thumbs can lead to ineffective compressions in a newborn, as it may not provide the precise control and depth required for this age group. One-handed compressions are also not suitable, as they can result in inconsistent pressure and may reduce the effectiveness of the resuscitation efforts. The choice of the two-finger technique aligns with recommended guidelines and practices for neonatal resuscitation, emphasizing the importance of both effectiveness and safety in emergency situations.